2003-575 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902. (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number:. P20030575 Date Issued: . 'Wednesday,August 06, 2003
This is to cer*that work requested to be done as shown by Permit Number P20030575
has been completed.
Tax Map Number: 523400-295-013-0001-023-000-,0000
Location: 17 AVIATION Rd
Owner: ERNEST&MARY ANNE MARTINDALE
Applicant: ERNEST&MARY ANNE MARTINDALE
This structure may be occupied as a:
By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030575 Application Number: A20030575
Tax Map No: 523400-295-013-0001=023,,'-000-0000
Permission is hereby granted to: FRNEST&MARY ANNE MARTINDALE
For property located at: 17 AVIATION Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance.
Type of Construction Value
Owner Address: ERNEST&MARY ANNE MARTIM Residefitial Alteration $13,000.00
17 AVIATION Rd Total Value $13,000.00
QUEENSBtkY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2003-575
988 SQ FT ALTERATION(REROOF BARN)AS PER APPLICATION
$98.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 04,2004
(If a longer period is required,an application for an extension must,be made to the code Enforcement Officer
of the Town of Queensbury before the expilration date.)
Dated at the To of Queen ury; o day,August 04.2003
SIGNED BY
for the Town of Queensbury.
/14
Director of Buildine&Co E nforcem" ent
Building Permit Application Town of Queensbury-Dept of Community Development,7, 2 Bay Road,Queensbury,NY
(518)761-8256 !:15 '
in�R.A 2pp3
A permit must be obtained before beginning construction. Permit File No.
d'
No inspection will be made until applicant has receive a Fee Paid
valid building permit. All applicants' spaces on this Roe.Fee Paid
application must be completed and must appear on the` Reviewed By
application form.
Applicant• D a �. �� Owner: r... e
Address: Address:
Phone#CCU _24- 6;?,i'6 g. Phone#(_) -
291- DVf8
Property Location: Lot Number: / House Number _
Subdivision Name: Tax Map Number: 9 . .13
00
o New Building: residence /commercial Estimated Market Value of Construction:$ ''22 0 O O
o Addition: residence/ commercial
o Alteration: residence 1 commercial Ifan'Addition,what will use of new addition be?
Into change to exterior s sidenc coni'1
0 Other work(describe-e
Check OccupaneyInformation 1' Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq.ft, Square Feet
0 Single family dwelling
0 Two family dwelling
(3 Townhouse
o Multifamily dwelling
#of units
o Office
o Mercantile
o Manufacturing
0 1 car detached garage
0 2 car detached garage
0 3 car detached garage
0 1 car attached garage
0 2 car attached garage
0 3 car attached garage
o Storage building-
commercial
Ig' Storage building-
residential 6l `
0 Other
What is the proposed height of the structure ` feet -"'inches
Will any second-hand or ungraded lumber be used? If so,for what?.
Type of Keating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number ofFhewlaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder _ -a Co <d 7)o0- el, .JAG
Plumber
Mason
Electrician
Declaration please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that 7/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,antis Built Survey by a licensed surveyor,drawn to scale,showing actual
location of all new construction.
Signature: Z q im owner,owner's agent,architect, ntractor
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: I
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chinmey Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof z
Roof Complete V
Guard 30 in.or more @ stairs,decks,patios
Guard at stair-well at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in. to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area: _
Inter Connected: _ / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures ,
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
1/4hour fire door/door closer
Garage fireproofffig
Duct work Sealed property
Attic access 30 in.x 2 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq. ft.-150 sq.ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final*Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C 0(Cert. Of Occupancy)
Okay to issue Permanent C 1 0(Cert. Of Occupancy)
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Erneat t M" Martindale �° PT.
11 Aviation Rd, YOED
Queenebur$ NY 12804 � � PATE